DR. MARLENE RUTH EISEN


Address: 1604 Chicago Ave, Suite #3, Evanston, IL 60201-1411
Phone: 8473289590

DR. MARLENE RUTH EISEN (NPI# 1801803564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801803564
Entity Type Individual
Full Name DR. MARLENE RUTH EISEN
Credential PHD
Practice Address 1604 Chicago Ave
Suite #3
Evanston
IL 60201-1411
Practice Telephone 8473289590
Practice Fax Number 8476763809
Mailing Telephone 8473289590
Mailing Fax Number 8476763809
Enumeration Date 2006-08-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BCBS 016 01

Office Location

Street Address 1604 CHICAGO AVE
SUITE #3
City EVANSTON
State IL
Zip Code 60201-1411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427403393 Beatrice Finkelstein, Rn, Psy.d. Psychologist 1604 Chicago Ave, Suite 5, Evanston, IL 60201-6017 2016-04-28
1891920757 Blount Psychology Incorporated Psychologist 1604 Chicago Ave, Ste.10, Evanston, IL 60201-6017 2009-05-21
1548405681 Linda Jean Goranson Counselor 1604 Chicago Ave, Ste 12, Evanston, IL 60201-6017 2008-12-03
1730377961 Melissa Ruth Blount Psychologist 1604 Chicago Ave, Ste.10, Evanston, IL 60201-6017 2007-10-12
1578763595 Curtis Kearney Counselor 1604 Chicago Ave, Suite 1, Evanston, IL 60201-6017 2007-07-18
1730206228 Monique Christine Ryan Dietitian, Registered 1604 Chicago Ave, Suite 10, Evanston, IL 60201-6017 2007-03-22
1083761795 Carol Mccardell, Lcsw, Ltd Community/Behavioral Health 1604 Chicago Ave, Suite 2, Evanston, IL 60201-6017 2007-01-04
1154484483 Carol Mccardell Social Worker 1604 Chicago Ave, Suite 2, Evanston, IL 60201-6017 2006-12-18
1821180696 John Kenneth Favale Dentist 1604 Chicago Ave, Evanston, IL 60201-6017 2006-09-29
1558468025 Jeannie M. Gutierrez Clinical Neuropsychologist 1604 Chicago Ave, #5, Evanston, IL 60201 2006-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356962898 Sebastian Andres Cruz Internal Medicine Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2020-05-06
1053970442 Wade Gilman Family Medicine 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 2019-06-10
1922577949 Elizabeth Wilton Therapy, LLC Counselor 2901a Central St Ste 3, Evanston, IL 60201 2018-11-20
1952887812 Sg Wellness LLC Clinic/Center 3008 Central Street, Evanston, IL 60201 2018-07-13
1689169591 Michael Kert Zijlstra Internal Medicine Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 2018-06-25
1982199725 Elizabeth Hannah Lees Internal Medicine Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 2018-06-25
1730674565 Ashley Elizabeth Aller Internal Medicine Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 2018-06-25
1669967683 Ayush N Shah Internal Medicine 2650 Ridge Ave Ste 5315, Evanston, IL 60201 2018-06-22
1811481062 Jeffrey D. Brow Internal Medicine 2650 Ridge Ave Rm 5315, Evanston, IL 60201 2018-06-20
1831687250 Michael Patrick Murphy Radiology 807 Davis St. Unit 707, Evanston, IL 60201 2018-05-01
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007049 Heloisa Garman Psychologist 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 2020-09-14
1992346233 Kiran Ramesh Mirchandani Psychologist 1740 Ridge Ave Ste 22, Evanston, IL 60201-5918 2019-10-07
1982181533 Melissa Perrin Psychologist 2530 Crawford Ave Ste 203, Evanston, IL 60201-4959 2018-07-26
1689165250 Mona Sue Weissmark Psychologist 737 Clinton Pl, Evanston, IL 60201-1765 2018-05-19
1063920957 Tamara Miriam Claman Psychologist 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 2018-01-13
1619480720 Kaelin Emery Psychologist 820 Davis St Ste 455, Evanston, IL 60201-4447 2017-11-10
1861905051 Dr. Tari Mack, Inc. Psychologist 636 Church St Ste 415, Evanston, IL 60201-4580 2017-11-09
1639535396 Alissa Levy Chung, Ph.d., Inc. Psychologist 704 South Blvd, Evanston, IL 60202-2908 2016-01-12
1114359213 Dr Savage Psychological Services PC Psychologist 2550 Crawford Ave Ste 12, Evanston, IL 60201-4987 2013-07-31
1710320080 Marni B Rosen Psychologist 2130 Green Bay Rd, Evanston, IL 60201-3026 2013-04-16
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Competitor

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City EVANSTON
Zip Code 60201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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